Effect of Progressive Muscle Relaxation Technique on Post-Operative Pain and Quality of Recovery among Patients with Abdominal Surgeries

Rady, Saada Elsayed; El-Deeb, Hoda Abdou Abd El-Monem

doi:10.21608/ejhc.2020.152563

Cited by 3 publications

(1 citation statement)

References 12 publications

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“…However, lower anxiety and pain, as well as higher stability of patients who were offered relaxation techniques, are in favor of this conclusion. Likewise, Elsayed et al (2020) in Egypt [ 44 ] found progressive muscle relaxation to be significantly effective in decreasing postoperative pain and improving the postoperative quality of patients' recovery after surgery.…”

Section: Discussionmentioning

confidence: 99%

Effect of three modalities on emergence agitation among post-traumatic stress disorder patients undergoing laparoscopy: a randomized controlled study

Abdelaziz,

Dean,

Elshafie

2024

BMC Psychiatry

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Background and aim Emergence agitation (EA) after general anesthesia is common in patients with post-traumatic stress disorder (PTSD). Due to the recent worldwide events such as the Covid-19 pandemic and wars, PTSD is not rare. Accordingly, a reliable, cost-effective anesthetic protocol to lower the incidence of EA is crucial. Therefore, we aimed to compare three different interventions for avoiding EA in PTSD patients undergoing gynecological laparoscopic surgery. Participants were divided into four groups: 1: performing pre-operative relaxation techniques (deep breathing exercise and progressive muscle relaxation [PMR]); 2: administrating intra-operative Ketamine; 3: applying both previously mentioned strategies and 4 as controls. Methods This study was carried out on 144 adult women scheduled for gynecological laparoscopy, randomly allocated into four groups: three intervention groups and a control group (36 each). Women aged 18-45 years old, with a diagnosis of PTSD were included in the study. Patients with a positive history of major neurological, cardiovascular, metabolic, respiratory, or renal disease were excluded. Any patient who reported the use of psychiatric drugs were also excluded from the study. Data was analyzed using IBM SPSS Statistics software version 26. Kolmogorov- Smirnov was used to verify the normality of the distribution of variables. Odds ratio was calculated to clarify the strength and direction of the association between intervention groups and control. Data was deemed significant at a p-value ≤0.05. Results Heart rate (HR) and Mean Arterial Blood Pressure (MABP) intra-operative and post-operative till 24 hours were significantly lower in groups 1, 2, and 3 compared to group 4 (p<0.001). There was a significant statistical difference in the intraoperative HR percentage decrease. MABP percentage decrease post-operative was higher in all the intervention groups with no statistically significant difference, except for group 1 compared to group 4, which was statistically significant (12.28 ± 11.77 and 6.10 ± 7.24, p=0.025). Visual Analogue Scale measurements were significantly less in the intervention groups 1, 2, and 3 compared to group 4. On Riker sedation–agitation scores, group 1 was 85 times more likely to be non-agitated (85 (15.938 – 453.307), p<0.001), group 2 was 175 times more likely to be non-agitated (175 (19.932–1536.448), p<0.001) and group 3 was protected against agitation. Conclusion Pre-operative relaxation techniques (breathing exercises and PMR) significantly lowered HR, MABP, VAS score, and EA than controls. These effects were not significantly different from intra-operative ketamine injection or the combination of both (relaxation techniques and ketamine). We recommend routine pre-operative screening for PTSD and the application of relaxation techniques (breathing exercises and PMR) in the pre-operative preparation protocol of PTSD-positive cases as well as routine practical application of preoperative relaxation techniques. Further studies on using pre-operative relaxation techniques in general could be cost-effective.

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Section: Discussionmentioning

confidence: 99%

Effect of three modalities on emergence agitation among post-traumatic stress disorder patients undergoing laparoscopy: a randomized controlled study

Abdelaziz,

Dean,

Elshafie

2024

BMC Psychiatry

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The Effect of Acupressure on Severity of Pain and Level of Anxiety for Patients Post Coronary Artery Bypass Graft

S.A.E.A.¹,

H.A.²,

N.H.³

2022

African Journal of Health, Nursing and Midwifery

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Background: Experiencing moderate to severe anxiety and pain are common symptoms after cardiac surgery, which is very challenging to treat with medical treatment. Acupressure is promising because it’s nonpharmacologic, has no apparent side effects, and has been used to improve postoperative outcomes. Aim of this study: This study aimed to evaluate the effect of acupressure on severity of pain and level of anxiety for patients post coronary artery bypass graft. Design: Quasi-experimental research design was used to achieve the aim of this study. Setting: This study was conducted at open heart surgery unit at Misr University for Science and Technology hospital and at Academic Institute for Heart Surgery Ain Shams University hospital. Subjects: A Purposive sample of 80 adult patients was included in the study. Tools: Three tools were used; structured interviewing questionnaire, Numerical scale of pain and State Trait Anxiety Inventory. Results: the 85% and 67.5% of the study group had severe pain and anxiety pre acupressure intervention compared to only 7.5% and 15% of them post intervention, while, about 75% of the control group had severe pain and anxiety pre intervention compared to 52.5% and 65% of them post intervention. There was high statistically significant difference between both groups regarding pain severity and anxiety level pre to post acupressure intervention. Conclusion: The study concluded that acupressure had a positive effect on reduction of severity of pain and level of anxiety post coronary artery bypass graft. Recommendations: It is recommended that nurses should consider using acupressure as an effective technique for pain and anxiety management in addition to drug therapy.

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Effectiveness of the Rehabilitation Program after Colorectal Surgery for Patients with Colorectal Cancer: A Quasi-Experimental Study

Changyai

Harnirattisai

Dalmida

2023

PRIJNR

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An effective rehabilitation program is essential for patients having surgery to regain full physical functions and improve their quality of life. This quasi-experimental study aimed to examine the effectiveness of a rehabilitation program on functional recovery and gastrointestinal quality of life among people with colorectal cancer undergoing surgery. This program was developed using integrated concepts from the Symptom Management Model and Self-Regulation Theory and involved nurse-patient co-operation. Sixty-four participants undergoing colorectal cancer surgery admitted at three tertiary hospitals in Bangkok, Thailand, were recruited into the experimental (n = 32) or control group (n = 32). The experimental group received the Rehabilitation Program after Colorectal Surgery in addition to usual care. The control group received only usual care. The instruments used for data collection were a demographic data record, a Pain Rating Scale, the Abdominal Distension Assessment Scale, the Gastrointestinal Function and Eating Record Form, a Six-Minute Walk Test, a digital spirometer for forced vital capacity, and the Gastrointestinal Quality of Life Index. The outcomes were measured before starting the program, on postoperative days 1 and 3, and two weeks after discharge. Data were analyzed using descriptive statistics, chi-square test, paired t-test, independent t-test, and repeated measures ANOVA.Results showed that the experimental group had significantly less pain severity and higher functional walking capacity than the control group. For the gastrointestinal quality of life, the experimental group achieved significantly better results in the symptom and physical function domains two weeks after discharge. In conclusion, the Rehabilitation Program after Colorectal Surgery could control symptoms, promote postoperative activities, and enhance recovery and some gastrointestinal quality of life domains. Nurses can use this program to increase functional ability and improve the quality of life among people with colorectal cancer receiving surgery. However, further testing using randomized controlled trials is needed before it can be widely used in practice.

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Effect of Progressive Muscle Relaxation Technique on Post-Operative Pain and Quality of Recovery among Patients with Abdominal Surgeries

Cited by 3 publications

References 12 publications

Effect of three modalities on emergence agitation among post-traumatic stress disorder patients undergoing laparoscopy: a randomized controlled study

Effect of three modalities on emergence agitation among post-traumatic stress disorder patients undergoing laparoscopy: a randomized controlled study

The Effect of Acupressure on Severity of Pain and Level of Anxiety for Patients Post Coronary Artery Bypass Graft

Effectiveness of the Rehabilitation Program after Colorectal Surgery for Patients with Colorectal Cancer: A Quasi-Experimental Study

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